20141111 Ver 1_More Info Received_20141028

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number -
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ - non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Permanent fill
® Yes
❑ No
® Corps
❑ DWQ
< 0.01
W1 ❑ P ®T
Dewatering
® Yes
❑ No
® Corps
❑ DWQ
< 0.01
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
< 0.01
2h. Comments: Temporary impacts due to dewatering are < 0.01 acres.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ - non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Permanent fill
Troy Mill Branch
® PER
❑ INT
® Corps
® DWQ
15.6
46.5
S1 ❑ P ®T
Dewatering
Troy Mill Branch
® PER
❑ INT
® Corps
® DWQ
14.0
S1 ®P ❑ T
Bank Stabilization
Troy Mill Branch
® PER
❑ INT
® Corps
® DWQ
15.6
28.0
❑ PER
❑ Corps
S4 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S5 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
88.5
3i. Comments: Permanent impacts of 46.5 feet are the result of placement of the aluminum box culvert. Temporary impacts of
14.0 feet are due to dewatering for culvert installation. Downstream slopes will be stabilized at a length of 28.0 If,
Page 4 of 10

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